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Individual

JERRY MELCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CLINICAL PSYCHOLOGIS

Contact information

Practice address
50 BENT CREEK LN, JACKSON, TN 38305-2170
(731) 661-9109
(731) 661-9110
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 660-8759

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1229
TN

Other

Enumeration date
05/29/2007
Last updated
07/29/2009
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